Organization
CORA REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHNNIE LYNN PUCCIO PTA, LMT (PHYSICAL THERAPY ASSISTANT)
(561) 478-3702
Entity
Organization
Contact information
Practice address
6901 OKEECHOBEE BLVD, E2, WEST PALM BEACH, FL 33411-2511
(561) 478-3702
(561) 478-3703
Mailing address
4345 WOODSTOCK DR, UNIT B, WEST PALM BEACH, FL 33409-2602
(561) 371-1151
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PTA19316
FL
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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